1987, 03-17 Permit: 87000638 MHSPOKANE COUNTY DEPARTMENT OF BUILDING AND SAFETY
NORTH 811 JEFFERSON
• SPOKANE, WASHINGTON 99260
(509) 456-3675
I certify that I haveexamined this permit and state that the information contained in it and submitted by me or my agent to compile said permit is true and
correct In addition, I have read and understand the NOTICE provisions included herein and agree to comply with same. All provisions of laws and
ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority
to violate or cancel the provisions of any state or local law regulating construction or the performance of construction.
SIGNATURE OF
OWNER OR AGENT
{
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APPLICATION . 7 I Ll Q 1)
DATE J I O
PRfI.IFf'T NIIM&FR= A7000AAA•
• DATE= 03/17/R7 PAGE= Al
***********************•***** PERMIT INFORMATION ******************)(*X*.******
PARCEL NUMBER= 20543-0903
SITE STREET= 1210 S DISHMAN RD
ADDRESS=:: SPOKANE WA 99206
PERMIT USE= SINGLE WIDE•MOBILE HOME (REPL..ACEMENT--SAME LOCATION)
PLATv= 002378 PLAT NAME= .SIESTA MOBILE PARK ADD
BLOCK= 6 LOT= 2 ZONE= RMH DIST:= F
AREA= 00000000 F/A== F WIDTH= 75 DEPTH= 100 R/W=
0 (JF BLDGS= • 1 . 1 DWELLINGS= 1
OWNER= .JOHNSON, ERIC h YVONNE
STREET= 9518 E 10TH AVE
.ADDRESS= .SPOKANE WA .99206
CONTACT NAME= OWNER
BUILDING: SETBACKS: FRONT;
•
******************************
I...EFT::::
PHONE= 509 927 0131
PHONE NUMBER= 509-927-0131
RIGHT= ' REAR==
MOBILE HOME PERMIT *********
CONTRACTOR= OWNER PHONE=
****************
YR/MAKE= MODEL=
SERIAL:.:::_ WIDTH== 14 LENGTH= 70 HEIGHT==.10
1:TEM DESCRIPTION QUANTITY FEE AMOUNT
INSPECTION FEE
BUILDING SURCHARGE
1 50.00
Y 1.50
*******x..*.*.*..*..**********..*..*.*.* -)e**.*.*. PAYMENT SUMMARY .**..tt.tt.*..*..*.*.tt..tt..x... *.**.tt..I...) ** .*..**..x
PAYMENT DATE RECEIPT* PAYMENT AMOUNT
03/17/87 876
TOTAL DUE= ' .00 TOTAL RAID=. 51 .50
**..*..*************************** END OF REPORT.************ *******•utt**
51:50
•
INSP-ID
DATE
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PROJECT FINAL
•